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Brief Treatment and Crisis Intervention 3:445-464 (2003)
© 2003 Oxford University Press

Research Commentary

Psychotherapeutic Interventions to Prevent Repeated Suicidal Behavior

   Paul S. Links, MD, FRCP(C)
   Yvonne Bergmans, MSW
   Michele Cook, RN

From the Arthur Sommer Rotenberg Chair in Suicide Studies and Suicide Studies Unit, St. Michael's Hospital, and the University of Toronto, Department of Psychiatry.

Contact author: Paul S. Links, MD, FRCP(C), St. Michael's Hospital, 30 Bond Street, Suite 2010, Shuter Wing, Toronto, Ontario M5B 1W8, Canada. paul.links{at}utoronto.ca.

This paper addresses two questions: Can psychotherapeutic interventions prevent repeated suicidal behavior? If so, what are the mechanisms of action that might explain such interventions? Research that focuses on suicidal behaviors as the outcome and uses psychotherapeutic interventions falls into three main areas: problem-solving strategies, treatment of borderline personality disorder, and modifications of hopelessness. Randomized controlled trials demonstrate the efficacy of these approaches, but to understand mechanisms of action, psychotherapy process research will be needed. Models incorporating emotions, perception of safety or validation, and positive emotions are presented.

KEY WORDS: psychotherapy, suicidal behavior, randomized controlled trials, process research, hopelessness, problem solving






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